<div class="block" id="block-tables">

                <div class="secondary-navigation">
                    <ul class="wat-cf">
                        <li class="first"><a href="t_siswa_ortu">Listing</a></li>
                        <li class="{if $action_mode == 'create'}active{/if}"><a href="t_siswa_ortu/create/">New record</a></li>
                    </ul>
                </div>

                <div class="content">
                    <div class="inner">
                        {if $action_mode == 'create'}
                            <h3>Add new record</h3>
                        {else}
                            <h3>Edit record: #{$record_id}</h3>
                        {/if}
                        {if isset($errors)}
                            <div class="flash">
                                <div class="message error">
                                    <p>{$errors}</p>
                                </div>
                            </div>
                        {/if}

                        <form class="form" method='post' action='t_siswa_ortu/{$action_mode}/{if isset($record_id)}{$record_id}{/if}' enctype="multipart/form-data">

                            
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.STATUS_HUB}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.STATUS_HUB}{/if}" name="STATUS_HUB" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.NM_ORTU}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.NM_ORTU}{/if}" name="NM_ORTU" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.ALAMAT}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.ALAMAT}{/if}" name="ALAMAT" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.RT}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.RT}{/if}" name="RT" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.RW}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.RW}{/if}" name="RW" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.KD_POS}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.KD_POS}{/if}" name="KD_POS" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.ID_PROPINSI}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.ID_PROPINSI}{/if}" name="ID_PROPINSI" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.ID_KABUPATEN}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.ID_KABUPATEN}{/if}" name="ID_KABUPATEN" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.NO_TELP}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.NO_TELP}{/if}" name="NO_TELP" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.NO_HP}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.NO_HP}{/if}" name="NO_HP" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.KOTA_LAHIR}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.KOTA_LAHIR}{/if}" name="KOTA_LAHIR" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.TANGGAL_LAHIR}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.TANGGAL_LAHIR}{/if}" name="TANGGAL_LAHIR" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.KD_AGAMA}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.KD_AGAMA}{/if}" name="KD_AGAMA" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.KD_STATUS_NIKAH}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.KD_STATUS_NIKAH}{/if}" name="KD_STATUS_NIKAH" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.KEWARGANEGARAAN}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.KEWARGANEGARAAN}{/if}" name="KEWARGANEGARAAN" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.KD_TINGKAT_IJAZAH}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.KD_TINGKAT_IJAZAH}{/if}" name="KD_TINGKAT_IJAZAH" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.ID_GOL_PEKERJAAN_ORTU}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.ID_GOL_PEKERJAAN_ORTU}{/if}" name="ID_GOL_PEKERJAAN_ORTU" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.GAJI}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.GAJI}{/if}" name="GAJI" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.STATUS_HIDUP}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.STATUS_HIDUP}{/if}" name="STATUS_HIDUP" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.TAHUN_MENINGGAL}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.TAHUN_MENINGGAL}{/if}" name="TAHUN_MENINGGAL" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.PENGHASILAN}</label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.PENGHASILAN}{/if}" name="PENGHASILAN" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.USERNAME}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.USERNAME}{/if}" name="USERNAME" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.TANGGAL_AKSES}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.TANGGAL_AKSES}{/if}" name="TANGGAL_AKSES" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.NIS}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.NIS}{/if}" name="NIS" />
    		</div>
    		
    	</div>
    
    	<div class="group">
            <label class="label">{$t_siswa_ortu_fields.KD_JENIS_ORTU}<span class="error">*</span></label>
    		<div>
    	       	<input class="text_field" type="text" maxlength="255" value="{if isset($t_siswa_ortu_data)}{$t_siswa_ortu_data.KD_JENIS_ORTU}{/if}" name="KD_JENIS_ORTU" />
    		</div>
    		
    	</div>
    

                            <div class="group navform wat-cf">
                                    <button class="button" type="submit">
                                        <img src="iscaffold/backend_skins/images/icons/tick.png" alt="Save"> Save
                                    </button>
                                    <span class="text_button_padding">or</span>
                                    <a class="text_button_padding link_button" href="javascript:window.history.back();">Cancel</a>
                            </div>
                        </form>
                    </div><!-- .inner -->
                </div><!-- .content -->
            </div><!-- .block -->
